- Actalent (Fort Worth, TX)
- …quickly and accurately. This role involves handling calls, processing insurance claims , and resolving copay issues-all while delivering excellent customer service. ... inbound/outbound calls with patients, providers, and insurers. + Process live insurance claims and assist with copay programs. + Update patient insurance info and… more
- Molina Healthcare (TX)
- …models to support analytical and operational use cases, including healthcare claims and utilization data. * Collaborate with cross-functional teams, including data ... 5+ years of progressive experience in Big Data engineering or analytics. HEOR ( Health Economics and outcomes Research) * Prior experience working in the healthcare… more
- Mass Markets (Killeen, TX)
- …to resolve issues when needed + Accurately document and process customer claims in appropriate systems + Lead fact-finding discussions to determine the best ... ranging from electronics to dream vacations and sometimes even cars! + Health Benefits:Full-time employees are eligible for comprehensive medical, dental, and vision… more
- Mass Markets (Killeen, TX)
- …to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures ... ranging from electronics to dream vacations and sometimes even cars! + Health Benefits:Full-time employees are eligible for comprehensive medical, dental, and vision… more
- NTT DATA North America (Dallas, TX)
- …Management Processors to join our team. Our Client is one of leading Health Plans in US. Responsibilities: + Analyzing and processing provider transactions in ... experience in a Healthcare processing (Provider Data Management preferred, Claims , Credentialing, or other Healthcare Payer/ Provider experience) Preferred… more
- Molina Healthcare (Fort Worth, TX)
- …Ability to influence across multiple organizational functions - Payment Integrity, Claims , Encounters, Finance, and Actuarial + Proven experience in managing complex ... implement efficient enterprise-wide processes and governance structures that span claims , encounters, clinical, finance and actuarial functions. + Identifies,… more
- US Physical Therapy (Houston, TX)
- …expanding Houston team. Your role will be critical in our billing and claims department, and you will be asked to facilitate procedural requirements, including data ... authorizations and verify coverage. + Follow up on unpaid claims and denials. + Maintain accurate and up-to-date patient...on meeting metrics + Excellent benefits package including 401k, health , dental, and generous paid time off + Multiple… more
- Molina Healthcare (San Antonio, TX)
- …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program experience as… more
- Mass Markets (El Paso, TX)
- …and provide accurate solutions. + Use internal systems to manage accounts, process claims , and update records. + Follow scripts and procedures to ensure compliance ... ranging from electronics to dream vacations and sometimes even cars! + Health Benefits:Full-time employees are eligible for comprehensive medical, dental, and vision… more
- Molina Healthcare (TX)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims , Provider Services and Contracting. * Identifies issues, resolves problems… more